补母益子法治疗珠帘喉痹疗效观察及对血清炎症因子、免疫因子水平的影响
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R276.1

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Observation on Curative Effect of Bumu Yizi Method on Beaded Throat Obstruction Chronic Hypertrophic Pharyngitis and Its Effect on Levels of Serum Inflammatory Factors and Immunologic Factors
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    摘要:

    目的:观察补母益子法(健脾清肺方) 治疗珠帘喉痹的临床疗效及对血清炎症因子、免疫因子水 平的影响。方法:选取60 例珠帘喉痹患者,随机分为治疗组与对照组各30 例。对照组给予阿莫西林胶囊、吸 入用布地奈德混悬液治疗,治疗组在对照组基础上联合补母益子法中药治疗。2 组均治疗2 周。比较2 组临床 疗效,以及治疗前后中医证候评分、血清炎症因子[白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)、肿瘤坏 死因子-α (TNF-α)] 水平、血清免疫因子[表皮生长因子(EGF)、分泌性免疫球蛋白A (SIgA)、免疫球 蛋白E(IgE)] 水平变化。结果:治疗组总有效率为96.67%,对照组为73.33%,2 组比较,差异有统计学意 义(P<0.05)。治疗前,2 组咽喉灼热、咽痛充血、呛咳无痰、口干声哑等中医证候评分比较,差异无统计学 意义(P>0.05);治疗后,2 组上述各项评分均较治疗前降低(P<0.05),且治疗组各项评分均低于对照 组(P<0.05)。治疗后,2 组IL-1β、IL-6、TNF-α 水平均较治疗前降低(P<0.05),且治疗组上述各项指标 均低于对照组(P<0.05)。治疗后,2 组IgE 水平较治疗前降低(P<0.05),EGF、SIgA 水平较治疗前升 高(P<0.05);且治疗组IgE 水平低于对照组,EGF、SIgA 水平高于对照组(P<0.05)。结论:在常规西药治 疗的基础上,采用补母益子法治疗珠帘喉痹疗效显著,可下调血清炎症因子水平,改善患者免疫功能,有效缓 解中医证候。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Bumu Yizi Method(Jianpi Qingfei Prescription) on beaded throat obstruction chronic hypertrophic pharyngitis and its effect on the levels of serum inflammatory factors and immunologic factors. Methods: A total of 60 patients with beaded throat obstruction chronic hypertrophic pharyngitis were selected and randomly divided into the treatment group and the control group,with 30 cases in each group. The control group was given Amoxicillin Capsules and Budesonide Suspension for Inhalation for treatment,and the treatment group was additionally treated with Bumu Yizi Method with Chinese medicines based on the treatment of the control group. The two groups were treated for 2 weeks. The clinical effects,traditional Chinese medicine (TCM) syndrome scores,levels of serum inflammatory factors,including interleukin- 1β (IL-1β),interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α),and changes of levels of serum immunologic factors,including epidermal growth factor (EGF), secretory immunoglobulin A (SIgA) and immunoglobulin E (IgE) were compared between the two groups before and after treatment. Results:The total effective rate was 96.67% in the treatment group and 73.33% in the control group, the difference being significant (P<0.05). Before treatment, there was no significant difference being found in the comparisons of TCM syndrome scores of scorching- hot throat, sore throat and congestion,irritating cough with no phlegm and dry mouth and hoarse voice between the two groups (P>0.05). After treatment, the above four scores in both groups were decreased when compared with those before treatment (P<0.05),and the above four scores in the treatment group were lower than those in the control group (P<0.05). After treatment,the levels of IL-1β,IL-6 and TNF-α in both groups were decreased when compared with those before treatment (P<0.05),and the above three levels in the treatment group were lower than those in the control group (P<0.05). After treatment, the levels of IgE in both groups were decreased when compared with those before treatment,and the levels of EGF and SIgA were increased when compared with those before treatment (P<0.05);the IgE level in the treatment group was lower than that in the control group,and the levels of EGF and SIgA were higher than those in the control group (P<0.05). Conclusion:Based on the treatment with routine western medicine, the Bumu Yizi Method has a significant curative effect on beaded throat obstruction chronic hypertrophic pharyngitis,which can enable the down-regulation of the levels of serum inflammatory factors,improve the immune function of patients and effectively mitigate the TCM syndrome.

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王瑞泓,夏中英,蔡志刚.补母益子法治疗珠帘喉痹疗效观察及对血清炎症因子、免疫因子水平的影响[J].新中医,2023,55(20):110-113

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  • 在线发布日期: 2023-10-27
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